The first test tube baby was born July 25th, 1978 in the north of England. Louise Brown was called the “baby of the century” by some and a “moral abomination” by others. It wasn’t Brown who critics accused of being immoral, of course. She was just a blameless infant. Instead, it was her doctors who…
As if being diagnosed with breast cancer wasn’t bad enough, many women with this diagnosis face complicated decisions about what kind of medicine or chemotherapy to take, if any, to reduce their chance of cancer recurrence. As I discussed in a recent post, the mathematics of such decisions can be hard to comprehend for many patients. …
Let’s warm up with a quick arithmetic problem, which I want you to do in your head. What is one thousand plus forty? Now add another thousand And thirty more Plus twenty Plus another thousand And finally, add an additional ten. What’s the answer? According to Dean Buonomano, in his excellent book Brain Bugs, the majority…
The book Critical Decisions: How You and Your Doctor Can Make the Right Medical Choices Together by Peter A. Ubel, MD effectively makes the case that good medical decisions require empowered patients, clinicians prepared to support them and techniques to help them communicate.[1] Better than any existing literature, this book highlights techniques and behaviors that clinicians…
Imagine picking up a telephone and hearing your doctor tell you there is a “999 out of 1,000 chance that you’ll be dead within a decade.” That’s what Leonard Mlodinow experienced in 1989, when his routine HIV test didn’t turn out the way he expected. Mlodinow tells this story in his 2008 book, The Drunkard’s Walk,…
Here is a link to my guest spot on You, The Owner’s Manual radio show, hosted by New York Times best-selling author Dr. Michael Roizen. It is a lively interview, worth listening to if for no other reason than Roizen’s great taste in writing: “I really enjoyed the book,” he said to me at one…
Q: Much of the debate around health care reform has centered on whether the government or the individual will control health care decisions. Is that a valid argument? Most medical decisions are between clinicians and their patients, and will continue to be that way as the federal health reform law is implemented. Medicare bureaucrats aren’t…
Here is my latest Critical Decisions video. This one gives a broad introduction to the reasons I wrote the book.
The role of race in college and graduate school admissions remains controversial in the U.S. In fact, the Supreme Court is currently taking up a challenge to a University of Texas program that considers race in its admission decisions. Critics of race-based admissions question whether educational institutions would serve the goals of affirmative action better by…
I had the great pleasure of speaking with Tess Vigeland, host of Marketplace Money. We discussed my book Critical Decisions in the context of what shared decision making means about patients paying attention to the cost of their medical care. Listen to the whole segment, because she is a great interviewer. And find out why…